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The end-results of sinus surgery in children compare favorably with those obtained in adults. The initial improvement is generally gratifying, but the attainment of permanent relief is difficult, for the disease tends to be progressive and may be based on an inherited weakness. Radical surgery on the paranasal sinuses of children is seldom necessary, and, when instituted, requires protracted postoperative care the same as radical mastoid surgery on the growing ear. In both instances the radical element is overcome by the further growth of the sinus or the mastoid process. In the past we have been taught to believe that any surgical interference would stop the growth and the development of the external nose and the paranasal sinuses. This, I believe, is an error. Disease will arrest the development of the sinuses, but, by reestablishing the normal ventilation and drainage of the undeveloped sinuses, through surgery, they will

Objective: To study the quality of life in patient who underwent ESS operation. Design and setting: A prospective study conducted over a period of one(01) year; from July 2004 to June 2005 in Otolaryngology – Head & Neck Surgery Department of Shaheed Suhrawardy Medical College Hospital and Dhaka Medical College Hospital, Dhaka, Bangladesh. Results: Hospital admitted 60(Sixty) cases of ESS patients were included and analyzed. 42 cases were male; whereas 18 cases were female in this study. 21-40 years (44 cases) were the commonest age group of study people. No significant/ alarming complications were recorded during post operative period. Conclusion: Instead of all limitations, outcome of ESS is more acceptable in comparison with conventional sinus surgery. The main symptoms, like nasal obstruction, discharge, headache and facial pain get relieved off dramatically which is compatible with other recognized study. Key words: Endoscopic sinus surgery; open the sinuses; restore normal air flow. DOI: http://dx.doi.org/10.3329/bjo.v17i2.8849 BJO 2011; 17(2): 104-109

THIS PAPER has a twofold purpose: (1) to review some of the fundamental concepts of the allergist and of the rhinologist regarding sinus surgery in asthma and (2) to report what happened to 197 asthmatic patients who had sinus operations and were followed an average of 8.7 years. The effect on the asthma and on the nose, together with the operative technique, will be discussed. There is a sharp difference in the management of asthma and vasomotor-rhinitis patients. In the latter disease, if the symptoms are not relieved by the allergist, he or the patient will urgently demand aid from the rhinologist. In the former, the control of wheezing and the suffering entailed is the constant responsibility of the allergist. His opinion as to the merits of any treatment naturally determines what is done. This is good both for the patient and for the otolaryngologist, who as a collaborator must

1.1. Twenty-five per cent of 720 office patients with asthma had sinus disease. 2.2. Seventy-one cases of asthma with sinus disease were selected from office and hospital records for detailed study. All were between the ages of 12 and 60 years. None had complications other than sinus disease. 3.3. Thirty-seven were treated conservatively. Thirty of them improved. 4.4. Thirty-four were treated by radical sinus surgery. Twenty-five of them improved. In 14, surgery seemed directly responsible for the improvement. In 11 other factors may have been responsible. 5.5. All 16 of the patients who failed to improve either cooperated poorly or had severe emotional disturbances. 6.6. Surgical results were disappointing in patients less than 30 years old. 7.7. Complete operation on all diseased sinuses seemed to lead to better results than incomplete operation. 8.8. Nonatopic patients had better results than atopic patients. 9.9. Patients with asthma and sinus infection should be treated with a combination of careful conservative management plus radical operation in selected cases.

THE effect of nasal and sinus surgery upon the manifestations of allergy has long been controversial. The purpose of this paper is to present a point of view based upon about twenty years of rhinologic research in the Allergy Clinic of the Massachusetts General Hospital, and upon experience in dealing with a considerable number of patients as a surgeon in the Massachusetts Eye and Ear Infirmary and in private practice. It is easy to report statistical studies in an effort to support an opinion, but scientific truth is rarely reached by such a method. On the contrary, one must observe . . .

Key words: Chronic sinusitis; sinus surgery; outcomeDOI: 10.3126/njenthns.v1i2.4754 Nepalese J ENT Head Neck Surg Vol.1 No.2 (2010) p.6-8

IN JUNE, 1949, at Atlantic City, N. J., eight cases of injuries to the skull involving the frontal sinuses were presented before this Section.1 At that time it was concluded that serious complications could be reduced provided the fractured frontal and ethmoidal sinuses were completely eliminated surgically as a potential source of infection. It was further stated that at least six months should intervene between the sinus surgery and final cosmetic repair. Patients with skull injuries are usually treated by neurosurgeons who have an outstanding record in this field. As otorhinolaryngologists, we are in a position to recommend and carry out treatment of associated injuries of the paranasal sinuses. This fact applies not only to the initial debridement,when performed, but also later surgical treatment, which is so often necessary. Since that report in 1949, twelve additional cases with skull injuries involving the frontal and ethmoidal sinuses have been treated, and

A method of maintaining a patent nasofrontal duct by the use of polyethylene tubing is presented. This technique is of value for patients with mucoceles of the frontal sinus and may be of aid for persons with chronic frontal sinusitis, provided surgery as advocated by Boyden 1 has first been used. Also presented in this report is a modification in handling a nasoantrostomy by using a similar procedure. Various materials have been advocated, tried, and found wanting for maintaining a patent nasofrontal duct. These have included skin 2 and mucous membrane, 3 rubber, 4 acrylic substances, 5 gold, 6 and tantalum. 7 Factors which have limited the use of these substances have been availability, irritation, malleability, and cost. A chemical substance which has none of the various objectionable features of previously tested materials has been found in polyethylene (polythene). The first reports of this new substance were presented by Ingraham

A case of carotid sinus syndrome was managed surgically with gratifying results. The symptoms have not recurred up to 19 months after the operation. The surgical management in the case reported consisted of adventitial stripping of the carotid bifurcation. The detailed surgical technique and rationale for surgical treatment are discussed.

Good exposure in sinus surgery is possible by the use of a lateral rhinotomy incision. The nose is mobilized and swung to one side. The operation will permit an en bloc removal of the lateral nasal wall and ethmoidal complex and can be extended to expose the frontal sinus. A case is described to illustrate the use of the procedure. The operation is indicated in some cases of advanced chronic sinusitis, benign tumours and cysts, and occasionally for nasal malignancies.

Despite their close anatomical relationship, orbital complications rarely occur during otorhinolaryngology operations. The well-known complication is the orbital injury during endoscopic sinus surgery. Procedures such as tonsillectomy or sinus surgery limited to the ostium widening rarely induce such an injury. We report two cases of corneal abrasion after otorhinolaryngological operative procedures. DOI: http://dx.doi.org/10.3329/bjms.v11i1.9826 BJMS 2012; 11(1): 61-62